Kelly Mantia, NP in Cedarhurst, NY - Medicare Nurse Practitioner

Kelly Mantia, NP is a medicare enrolled "Nurse Practitioner - Family" in Cedarhurst, New York. Her current practice location is 650 Central Ave, Cedarhurst, New York. You can reach out to her office (for appointments etc.) via phone at (516) 340-0702.

Kelly Mantia is licensed to practice in New York (license number 352247) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679258222.

Contact Information

	Kelly Mantia, NP
	650 Central Ave, Cedarhurst, NY 11516-2301
	(516) 340-0702
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Mantia
Gender	Female
Speciality	Nurse Practitioner - Family
Location	650 Central Ave, Cedarhurst, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679258222
Provider Enumeration Date: 06/21/2023
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 5799139754
Enrollment ID: I20230925001214

Medical Identifiers

Medical identifiers for Kelly Mantia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679258222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	352247 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Mantia allows following entities to bill medicare on her behalf.

Entity Name	North Shore Hematology Oncology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Mantia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Mantia, NP 133 Ocean Ave, Massapequa Park, NY 11762-2323 Ph: (718) 812-4774	Kelly Mantia, NP 650 Central Ave, Cedarhurst, NY 11516-2301 Ph: (516) 340-0702

Reviews and Comments

Nurse Practitioner Nurses in Cedarhurst, NY

Shira S Yaffe, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 457 Summit Ave, Cedarhurst, NY 11516 Phone: 917-286-7070
Jennifer Castillo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Central Ave, Cedarhurst, NY 11516 Phone: 516-804-8590
Jay Lachman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 377 Buckingham Rd, Cedarhurst, NY 11516 Phone: 516-660-6057
Catherine Mueller I, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 660 Central Ave, Cedarhurst, NY 11516 Phone: 516-563-1131 Fax: 516-295-9245
Melanie Gay Forman, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 558 Arlington Pl, Cedarhurst, NY 11516 Phone: 516-444-9940
Bryan Jonathan Cordero, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Central Ave Ste K, Cedarhurst, NY 11516 Phone: 516-804-8590

Kelly Mantia, NP - Medicare Nurse Practitioner in Cedarhurst, NY